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| OPHTHALMIC IMAGE |
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| Year : 2021 | Volume
: 1
| Issue : 2 | Page : 165 |
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Cart-wheel pattern intraocular lens glistening
Mahesh Bharathi, Sirisha Senthil
VST Centre for Glaucoma Care, L. V. Prasad Eye Institute, Banjara Hills, Hyderabad, Telangana, India
| Date of Web Publication | 01-Apr-2021 |
Correspondence Address:
Dr. Sirisha Senthil
VST Centre for Glaucoma Care, L. V. Prasad Eye Institute, L V Prasad Marg, Banjara Hills, Hyderabad - 500 034, Telangana
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1449_20
How to cite this article:
Bharathi M, Senthil S. Cart-wheel pattern intraocular lens glistening. Indian J Ophthalmol Case Rep 2021;1:165 |
An 86-year-old lady, who underwent combined phacoemulsification (with foldable, acrylic, hydrophilic, posterior chamber intraocular lens (IOL) and trabeculectomy elsewhere presented to us with decrease in vision in her left eye (LE) (20/60). The LE showed in-the-bag IOL with multiple, scattered, “cart-wheel” pattern deposits on the posterior surface of the IOL [Figure 1]. | Figure 1: Slit lamp image showing in-the-bag placed intraocular lens with “cart-wheel” pattern of IOL glistening
Click here to view |
The IOL material, manufacturing and packaging process, ocular conditions like glaucoma and uveitis, interaction with intraocular gas/air, simultaneous phaco-trabeculectomy, and medications that cause disruption of the blood-aqueous barrier have been implicated to cause alteration in the IOL material and/or aqueous humor properties resulting in opacification and glistening.[1],[2],[3],[4]
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Hyderabad Eye Institute, Hyderabad, India.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Werner L. Glistenings and surface light scattering in intraocular lenses. J Cataract Refract Surg 2010;36:1398-420.  |
| 2. | MacLean KD, Apel A, Wilson J, Werner L. Calcification of hydrophilic acrylic intraocular lenses associated with intracameral air injection following DMEK. J Cataract Refract Surg 2015;41:1310-4. |
| 3. | Colin J, Orignac I, Touboul D. Glistenings in a large series of hydrophobic acrylic intraocular lenses. J Cataract Refract Surg 2009;35:2121-6. |
| 4. | Moreno-Montañés J, Alvarez A, Rodríguez-Conde R, Fernández-Hortelano A. Clinical factors related to the frequency and intensity of glistenings in AcrySof intraocular lenses. J Cataract Refract Surg 2003;29:1980-4. |
[Figure 1]
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